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ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzshore P. Bhallmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

Known C/O spastic paraparesis with dementia since 1 month.
C/O abnormal behaviour since May 0000.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There are hyperintense areas on the proton, T2 Weighted and Flair images in the frontal, parietal and temporal lobes bilaterally. These are located predominantly in the white matter with slight involvement of the gray matter in the temporal lobes.

The hippocampal complex on either side appear slightly small as compared to normal.

There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
..2/.






There is no shift of the midline structures.

INTRACRANIAL MRA :

There is irregularity of the distal portion of the left posterior cerebral artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the frontal, parietal and temporal lobes bilaterally as described. Alzheimers disease should be considered.

2. Cerebral and cerebellar atrophy.

3. Irregularity of the distal portion of the left posterior cerebral artery.


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